Utilization of the Health Operational AID for the Coverage of Maternal Health Program in Kendari, South East Sulawesi


Sija Tiku

 

Masters Program in Public Health, School of Health Sciences Mandala Waluya, Kendari

 

ABSTRACT

Background: Maternal mortality rates vary significantly from region to region. Inter­ven­tions such as early and planned antenatal care attendance and facility delivery with skil­led health wor­kers can potentially reduce maternal mortality rates. Several factors can be attributed to an­te­­natal care attendance, including the cost of health care ser­vi­ces. For several years the go­vernment has launched a financial assistant programe name­ly the health operational aid (BOK). How­ever, there is a lack of information on how this fund has been utilized. The aim of this study was to describe utilization of the health operational aid for the coverage of maternal health program in Kendari, South East Sulawesi.

Subjects and Method: A qualitative study was carried out in Kendari, North Sula­wesi. The informants included pregnant mothers, midwifes, and health personnel, at the com­munity health center. The data were collected by in-depth interview, direct ob­ser­­vation, fo­cus group dis­cussion (FGD), and document review.

Results: Maternal mortality rates in Kendari from 2013-2017 experienced fluc­tua­tions. In 2013 there were 6 maternal deaths, in 2014 there were 3 maternal deaths. In 2015 it rose to 8 ma­ternal deaths, in 2016 it fell to 4 maternal deaths, and in 2017 it rose to 5 deaths. The coverage of childbirth assistance by health workers in Kendari con­­tinued to decline. In 2014 the coverage of childbirth was 95.31%, in 2015 it dropped to 92.84%, and in 2016 it decreased to 92.17%. Inversely with health financing, the BOK fund in Kendari each year has increased. In 2014 the BOK amounted to Rp. 1,695,810,000, in 2015 Rp. 1,701,579,000, in 2016 Rp. 3,225,000,000, in 2017 Rp. 6,401,514,000 and in 2018 reached Rp. 8,319,751,000. The increased amount of BOK fund is not in line with the increase in coverage of deliveries by health workers, and there is no significant reduction in maternal mortality rates.

Conclusion: The increased amount of BOK fund does not match with the im­pro­vement in health care coverage. It is necessary to study the effectiveness and types of ac­ti­vities that use BOK funds in order to increase the coverage of services, especially deli­very services by health workers to significantly reduce maternal mortality

Keywords: operational health assistance, coverage, maternal health, labor

Correspondence: Sija Tiku. Masters Program in Public Health. School of Health Sciences, Mandala Walu­ya, Kendari, North Sulawesi. Email: sijahatiku@gmail.com. Mobile: 08114038140

DOI: https://doi.org/10.26911/theicph.2019.04.23

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